FORMS
Form 1
Registration Information Form to be filled out by patient and emailed or faxed back
Medical Information Form to be filled out by patient and emailed or faxed back
Form 2
Authorization to Release Medical Photo & Video optional form to be filled out by patient and emailed or faxed back
Form 3
Copyright notice: Miami Surgery LLC 2017-2018
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Assignment of Benefits Page Form to be filled out by patient and emailed or faxed back
Form 4
Patient's Rights & Medical Malpractice Form to be filled out by patient and emailed or faxed back
Form 5
Arbitration Form to be filled out by patient and emailed or faxed back
Form 6
Acknowledgement of Receipt of Privacy Notice Please Fill out and email of fax back to office
Form 7
